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Resolution of sclerosing encapsulating peritonitis in a young dog
Author(s) -
Isaac Ingrid,
Carrera Ines,
Martí Juan,
DiBella Andrea
Publication year - 2020
Publication title -
veterinary record case reports
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.165
H-Index - 4
ISSN - 2052-6121
DOI - 10.1136/vetreccr-2019-001022
Subject(s) - medicine , effusion , histopathology , abdominal ultrasonography , abdominal fluid , peritonitis , ascites , pleural effusion , prednisolone , radiology , peritoneal effusion , surgery , pathology , ultrasonography
An eight‐month‐old Labrador retriever presented with abdominal effusion. Abdominal ultrasonography revealed significant free fluid and a linear hyperechoic band surrounding the abdominal organs. CT showed the gastrointestinal organs to be located centrally, enclosed by a thin, hyperattenuating enhanced band with no peritoneal effusion in this region. Surgery was performed to obtain biopsies for diagnostic purposes. Histopathology revealed granulation tissue with reactive fibroblasts, lymphoplasmacytic inflammation and neovascularisation; these findings were consistent with the diagnosis of secondary sclerosing encapsulating peritonitis. The patient responded well to treatment with tamoxifen, prednisolone and spironolactone. Four months later, follow‐up abdominal ultrasonography revealed a small volume of free fluid. However, there was a mild adverse reaction to tamoxifen, causing protrusion of the penis and attraction of other dogs. Two and a half years after diagnosis, the patient continued to have good quality‐of‐life with no clinical signs or relapse.